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All Journal International Journal of Integrated Health Sciences The Indonesian Biomedical Journal Paediatrica Indonesiana Medicinus : Jurnal Kedokteran Neurologico Spinale Medico Chirurgico Jurnal Ilmu Bedah Indonesia
Julius July
Department Of Neurosurgery, Faculty Of Medicine, Pelita Harapan University, Neuroscience Center, Siloam Hospital Lippo Village, Tangerang, Banten
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Case Report: Management Penetrating Brain Injury Across Middle Third of Superior Sagittal Sinus Chumaidi, Achmad; July, Julius
Medicinus Vol. 12 No. 1 (2022): October
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v10i2.7025

Abstract

Background: Penetrating cranial injuries are rarely reported on thick parietal bone. Goal of its management include removal of the foreign object while minimizing furher damage to the brain and associated neurovascular structures, also prevent further complications.Case Description: We report a case of a 22-year-old male presented with machete stucked in his head following an accidentally fell down of the weapon from a coconut tree. The cranial location affected were midparietal. He was disoriented on admission, with neither neurological focal signs nor seizure. Computed tomography (CT) revealed that the object penetrate middle superior sagittal sinus. After emergency craniotomy to remove the objects, debridement, dural sinus repair were performed. Recovery was complete without sequelae.Conclusion: Laceration of the middle thirds of the superior sagittal sinus require special handling and care during surgery. Operative approach and treatment strategies are among the most important considerations to achieve the best patient outcomes. 
Intramedullary Spinal Cord Cavernoma: A Case Report and Literature Review Widjaya, Ingrid A; Yunus, Yesaya; Wahjoepramono, Eka Julianta; July, Julius
Medicinus Vol. 13 No. 1 (2023): October
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v11i2.7533

Abstract

Background: Spinal cord intramedullary cavernous malformation (SICM) is kind of rare vascular disease, and the therapeutic strategy is still under debate. Cavernous malformation (CM) can be found throughout the central nervous system (CNS) but only rarely occur within the spinal cord. The purpose of this article is to describe natural history, clinical presentation and outcome of SICM case which treated surgicallyCase Presentation: A 70-year-old healthy woman presented with lower extremity weakness. A posterior laminectomy was performed, and a diagnosis of intramedullary spinal cord cavernous malformation was established. Neurological improvement was seen in one month after surgeryConclusion: Intramedullary CM is a rare disease but one with significant consequences if not managed appropriately. whenever safely feasible, gross total resection is suggested, to prevent rebleeding and further worsened of neurological deficit.
Co-Authors Abhijit Guha Achmad Chumaidi Achmad Chumaidi, Achmad Ahmad Faried Alexander Cahyadi, Alexander Anak Agung Istri Sri Wiadnyani Andi A. Islam Andi Asadul Islam As’ad, Suryani Beny Atmadja Wirjomartani Bilzardy Ferry Budhianto Suhadi Dermawan, Kevin Dong seok Lee Eka J. Wahjoepramono Harahap, Agnes S. Harsono, Ivan William Irawan Yusuf Ivan William Harsono Kristiani, Erna Lekatompessy, Michael Lucia Herminawati Lucia Herminawati, Lucia Maria F. Ham Marisca, Stephanie Mira Yuniarti Muhammad Zafrullah Arifin Nathania Victoria Stevina Novita Tirtaprawita Priscilla Muliantara Sophie Peeters Stevina, Nathania Victoria Suharyani, Sally Susanto, Eka Sutisna Himawan Tirtaprawita, Novita Tjahjadi, Hartono Uranus, Hans Christian Veli Sungono Vivien Puspitasari, Vivien Widjaya, Ingrid A Widodo, Stephanie T. Widyakrisna, Albertus Boyke Raditya Wiradharma Wiradharma Wiradharma Wiradharma, Wiradharma Yesaya Yunus Yesaya Yunus Yesaya Yunus